Healthcare Provider Details

I. General information

NPI: 1326303025
Provider Name (Legal Business Name): AYMAN ALMOUSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AYMAN ALMOUSA M.D.

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2200
US

IV. Provider business mailing address

3810 NW 5TH TER
BOCA RATON FL
33431-5747
US

V. Phone/Fax

Practice location:
  • Phone: 740-547-6757
  • Fax:
Mailing address:
  • Phone: 561-297-4845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberTRN22304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: